文章摘要
大陷胸汤治疗急性胃肠功能损伤Ⅱ级临床效果研究
Study on Clinical Effect of Daxianxiong Decoction on Acute Gastrointestinal Injury Grade Ⅱ
DOI:
中文关键词: 大陷胸汤  急性胃肠功能损伤Ⅱ级  水热互结型
英文关键词: Daxianxiong decoction  Acute Gastrointestinal Injury Grade Ⅱ  body fluid-pathogenic heat type
基金项目:湖南省郴州市科技局科技发展计划项目(ZDYF2020191)
作者单位邮编
廖锋 湖南郴州市中医医院 423000
孙智玲 湖南省郴州市中医医院 423000
邝小芝 湖南省郴州市中医医院 
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中文摘要:
      目的:探讨大陷胸汤治疗危重患者急性胃肠功能损伤Ⅱ级临床效果。方法:选取2020年05月到2022年04月入住我院重症医学科诊断为急性胃肠功能损伤Ⅱ级,中医辨证为水热互结型患者60例。按入住ICU的先后顺序以随机数字表法进行分配,分为对照组与治疗组各30例。对照组予西医常规治疗,治疗组予大陷胸汤联合西医常规治疗。对比两组肠鸣音恢复时间,首次通便时间,治疗第一、四、七天腹腔压力和胃内残留量。结果:治疗组肠鸣音恢复时间、首次通便时间均较对照组缩短,差异有统计学意义(P<0.05);治疗组治疗的第四天、第七天腹腔压力、胃内残留量均较第一天明显下降,差异有统计学意义(P<0.05);治疗的第四天、第七天治疗组腹腔压力、胃内残留量均较对照组降低,差异有统计学意义(P<0.05)。结论:大陷胸汤联合西医常规治疗可改善中医辨证水热互结型急性胃肠功能损伤Ⅱ级危重患者症状,促进胃肠道功能恢复,疗效显著。
英文摘要:
      Objective: To investigate the clinical effect of Daxianxiong decoction in the treatment of critical patients with acute gastrointestinal function injury grade Ⅱ. Methods: To select 60 patients who were admitted to the Department of Critical Care Medicine of our hospital from May 2020 to April 2022 and diagnosed as acute gastrointestinal function injury grade Ⅱ, and body fluid-pathogenic heat type by TCM syndrome differentiation. According to the order of ICU admission, they were randomly and equally divided into control group and treatment group, 30 cases in each group. The control group was treated with conventional western medicine, and the treatment group was treated with Daxianxiong Decoction combined with conventional western medicine. The recovery time of bowel sounds, the first defecation time, the intra-abdominal pressure and the gastric residual volumes on the first, fourth and seventh days of treatment were compared between the two groups. Results: The recovery time of bowel sounds and the first defecation time in the treatment group were shorter than those in the control group, and the difference was statistically significant (P<0.05); In the treatment group, the intra-abdominal pressure and gastric residual volumes on the 4th and 7th day were significantly lower than those on the 1st day, where the difference was statistically significant (P<0.05); The abdominal pressure and gastric residual volumes on the fourth and seventh day of treatment in the treatment group were lower than those in the control group, and the difference was statistically significant (P<0.05). Conclusion: Daxianxiong Decoction combined with conventional western medicine treatment can improve the symptoms of critical patients with acute gastrointestinal function injury grade Ⅱ of body fluid-pathogenic heat type, and promote the recovery of gastrointestinal function, with significant effect.
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